Analgeics

Question 1

prostaglandins

Answer 1

enzymes that lead to pain and inflammation

Question 2

COX enzymes

Answer 2

-COX 1: in tissue and cells (contious)
-COX 2: inactive until pain and inflammation occur

Question 3

NSAIDS: anti-prostagladins

Answer 3

-M: meloxicam
-I: ibuprofen
-I: indomethacin
-C: celecoxib
-K: ketorolac

Question 4

Salicylate: Aspirin

Answer 4

1. anti-prostaglandin
2. ant-coagulant
3. anti-pyretic
4. analgesic
5. ant-inflammatory

Question 5

AE of Aspirin

Answer 5

-risk for bleeding, renal toxcity, dizzy

Question 6

Nursing Implications of Aspirin

Answer 6

-Avoid kids
-Don’t crush/chew
-Max dose of 8,000 (325 for pain 81 for blood thinner)
-Monitor for allergies/bleeding

Question 7

Non-Narc: Acetaminophen

Answer 7

• acts on hypothalamus to increase sweating and lower pain
  -anagleisc and anti-pyretic

Question 8

AE of Acetaminophen

Answer 8

-hepatox and renal failure

Question 9

Nurse Implications

Answer 9

-look for rash
-monitor kid and liver (BUN/Creatine)
-Avoid alc
-Max 4,000 (325-650 dose)

Question 10

ibuprofen/naproxen

Answer 10

-analgetic
-antipyretic
-anti-inflam

Question 11

AE of ibuprofen

Answer 11

dyspepsia,GI uclers, renal tox, bronchospasm

Question 12

Nurse implications ibuprof

Answer 12

-Allergy
-Cross hyper w/ aspirin
-400-800 dose (max 3200)
-take w/ food avoid alc

Question 13

Meloxicam

Answer 13

-analgeic
-anti-inflam
-anti-pyretic

Question 14

AE of melox

Answer 14

dsypena, rash, low blood, GI bleed high liver levels

Question 15

Nurse implications of melox

Answer 15

-same as other nsaids, report rash, etc

Question 16

indomethacin and ketorolac

Answer 16

-anti-inflam
-anti-pyretic
-analegic

Question 17

AE of indo and ketorlac

Answer 17

GI bleed, uclers, ab pain, vomit, somlance, renal impair

Question 18

Nurse im of indo and ketorlac

Answer 18

-hypersen to salicyte
-report pain, tarry stool, weight gain
-don’t drive

Question 19

Indomethacin

Answer 19

listed in beers critera

Question 20

Ketorolac

Answer 20

no more than 5 days post op (max: 120 a day)

Question 21

Cross-hypersensitvity

Answer 21

aspirin and ibprofuen

Question 22

Salicylism

Answer 22

signs:
-tinnitus
-dizzy
-nausea
-high temp/res
Treat:
sodium bicarb and charocal

Question 23

Acetaminophen OD treatment

Answer 23

acetylcystenine